Kakawanda kuputika kweamniotic fluid inova chikonzero chekutarisira amai vane ramangwana. Zvisinei, havasi vakadzi vose vane pamuviri vanomiririra kuti chii uye kuti vanosiyanisa sei amniotic fluid kubva kumudzimai. Ngationgororei mamiriro acho ezvinhu zvakanyanya, tichazotumidza zvikonzero, nzira dzokugumisa kudarika.
Amniotic fluid - chii ichocho?
Amniotic fluid inzvimbo inokosha yemucheche. Kuzadza mukomana we fetal, iyo inodzivirira kushungurudzika kwema fetus, kuumba mamiriro akanaka akanaka. Nokudaro kuvonga zvakananga kwaari kutonhora kwemuviri wemwana kunochengetwa pane imwe yezinga. Zvakakosha ndiko kudzivirira kunopa mwana amniotic fluid mune ramangwana.
Izwi raro harina kugadzikana, rinowedzera nekukura kwehutumbi. Izvi zvinoratidzirwa nguva yose yegore, asi mvura inobudiswa isina kufanana. Inzwi rinowedzera nevhiki imwe neimwe. Iyo yakawanda inosvika kusvika kumaawa makumi matatu nemaviri ekuberekwa. Panguva ino, ivhu reamniotic fluid ndiro 1000-1500 ml. Munyaya iyi, pakarepo musati maitiro ekuberekwa, kuwanda kwayo kunoderedza.
Chii chinokonzera kuora kweamniotic fluid?
Amniotic fluid panguva yekuzvitakura inokosha kumangwana yevana. Kuderedza simba rayo kunogona kutungamirira kumigumisiro isingaoneki. Pakati pevachiremba vanoona:
- utachiona hwemucheche mukati memimba;
- kukura kwezvinetso zvehutachiwana hunotapukira mune amai vari mberi: endometritis , chorioamniotonitis (kuvhiringidza kwemuviri we fetus), kushungurudzwa kunotyisa ;
- kutanga kusununguka;
- basa rakaoma rebasa.
Zvinokonzerwa nekudonha kweamniotic fluid
Apo amniotic fluid panguva yekuzvitakura inofamba, mukadzi anofanira kuonana nachiremba. Basa guru rechiremba nderokuziva uye kubvisa chinokonzera kukanganisa. Panguva imwecheteyo, kuongorora kwakakwana kwemamiriro ezvinhu kunoitwa. Pakati pezvikonzero zvinokonzerwa, shandisai:
- Zvirwere zvinopisa uye zvinopararira muhutano hwekubereka. Somugumisiro wemagadzirirwo akadaro, mazamu emukanda ari kuponda, umo mucheche wacho uripo. Pamusana pokurasikirwa nekusimba, kutendeseka hakuna kukwana. Izvi zvinogoneka ne colpitis, endocervicitis.
- Isthmicocervical insufficiency. Nekurwisana uku, kupfigwa kusina kukwana kwechirwere kunowanikwa. Pamusana pekuwedzera kudzvinyirira, kunokonzerwa nekuwedzera kwehukuru hwema fetus, fetal fetal inopinda mumugero wemumuromo. Izvi zvinokonzera kukanganisa kwehutano hwavo.
- Kubata pamuviri. Ichi chinoshamisa chinonzi chinoita kuti zvive nekugadzirisa kwekuvhiringidza chinhu. Nemhaka yekuwedzera mutoro pamadziro echando, havagoni kumira uye kukuvara, zvichikonzera kuora kweamniotic fluid.
- Anomalies ekubudirira, bheninha kana maitiro akaipa mukati mechibereko. Uipi hwakaipa hwechirwere chemuviri, kuvapo kwe-cysts uye matumire mairi zvinodzivirira kukura kwakakwana kwecheche, amniotic membrane. Somugumisiro, masvingo anogona kukuvadzwa.
- Kushungurudzika kwepanyama, kushungurudzika mumimba kunogona kukonzera kubuda kweamniotic fluid kunze.
Kubata kweamniotic fluid mukutanga kwekutanga
Kudonha kweamniotic fluid panguva yekuzvitakura, panguva yaro duku, inopera nekuputsana kwekutora mwana. Kana chirwere ichi chikavapo kwemavhiki makumi maviri, ipapo mwana haagoni kupona. Panguva imwecheteyo, utachiona hwemakumbo hunoitika, zvirongwa zvebasa rinokosha zvinokanganiswa, sechikonzero chekuti mwana anofa sei. Mukadzi akacheneswa mukati momuviri weutterin kuti udzivirire utachiona uye zvinetso zvinopisa upenyu.
Incontinence ye amniotic fluid mumutsara wechipiri
Kuvhiringidza kweamniotic fluid inowanzogadziriswa kwenguva refu. Inokurudzirwa nekuwedzera kukumanikidza pamucheche membrane, iyo yakawanda inowedzera kazhinji. Apo kusagadzikana kworudzi urwu kunowanikwa muhafu yekutanga ye 2 trimester (masvondo makumi maviri asati apera), vanachiremba vanomanikidzwa kushandura gestational process. Izvi zvinobatsira kudzivisa matambudziko anokanganisa utano hwemukadzi.
Kana kuputika kweamniotic fluid inotanga mushure memasvondo makumi maviri nemaviri , saka mumatambudziko akawanda kune mhinduro yakanaka. Mukadzi ane pamuviri anotumirwa kuchipatara, kwaanotarisirwa. Vanachiremba vanotarisa kuongorora kwakasimba, nekuita kuongorora kwe ultrasound mune chigaro chegynecology chehurumende yehuputipu envelope. Panguva imwecheteyo, hapana hutano hwakananga. Kuedza kwechiremba kune chinangwa chekuvandudza mamiriro emukadzi ane pamuviri. Izvo zvose zvinotarisa kuti nguva yakawanda yakapfuura sei kubvira pakatanga kuparara, kunokonzerwa nokuputsa kwehombodo.
Nzira yekuziva sei kuvuza kweamniotic fluid?
Kuzvidzivirira pachavo nevana remangwana, mukadzi ane pamuviri anofanira kufungidzira zviratidzo zvekuputsa uku. Kurwisa kweamniotic fluid, zviratidzo zvingaratidzwa zvisingatauriki, ine huwandu huri kukura - sezvo simba remvura inowedzera, izwi rinowedzera. Kana kukanganisa kwemahombekombe kwakaitika munzvimbo yakakwirira kubva pamutsipa, mvura inopera zvishoma. Mumamiriro ezvinhu akadaro, vakadzi vane pamuviri vangarega kubvuma izvi, vachizvitora kuti vagone kubuda. Pakati pezviratidzo zvakajeka zvekuputika ndezvekuti:
- kamwe-kamwe, kubuda kunorema kubva kumudzimai;
- kuchinja mumamiriro ezvinyorwa - vakava mvura, yakawedzera muhuwandu;
- kuderera kwemuviri wepamuviri;
- kuonekwa kwekutora marwadzo mucheche pasi .
Nzira yekusiyanisa sei kubudiswa kwekusvibiswa kunokonzera amniotic fluid?
Kuti ave nekukwanisa kusiyanisa kupesana kubva pamusana, mukadzi wese ane pamuviri anofanira kunyatsonzwisisa kuti kuputika kweamniotic fluid inoratidzika sei. Pakati pezviratidzo zvikuru:
- kuwedzera muwandu hwekuvharidzirwa mumvura panguva yekuita basa, kufamba, nzvimbo yekuchinja;
- kusagadzikana kwemisumbu yemapapiro haitungamiri pakuguma kwekubuda (zvakasiyana nekushambadzira kwepakati).
Kana kupera kwechirwere ichi chiri chiduku zvikuru, tsanangudzo yehutachiona inokwanisika bedzi nekushandiswa kwemuedzo unokosha kana smear. Misodzi mikuru inogona kuonekwa nemukadzi pachake, pamba. Kuita izvi:
- Shanyira chimbuzi uye usapedze zvachose chivharo.
- Shamba zvakakwana uye evhara.
- Pamusoro pefafa raisa pepa, rakaoma uye rakachena uye rara pairi pasina shangu.
- Kana maminitsi gumi nemashanu pairi peji ichionekwa mavara madota, mukana wekuputika wakakwirira. Kubudirira kwemuedzo wakadaro wakajeka kunopfuura 80%.
Iko amniotic fluid mudii panguva yekudonha?
Muvara weamniotic fluid munguva yekudonha kunogona kunge yakasiyana. Izvi zvinomanikidza mukana wekuona kutyora. Mune zviitiko zvakawanda, mvura yakachena, haina marara, saka zvakaoma kuvatsanangurira pamakwara padenga rekuchenesa. Dzimwe nguva, amniotic fluid inova inopenya. Kana iine utachiona neamniotic fluid, inogona kuva magirasi, masikati, masikati. Zvisinei, mumamiriro ezvinhu akadaro, imwe kliniki inoonekwa, iyo inobatsira kutsvaga chirwere.
Muedzo wokugadzirisa kuputika kweamniotic fluid
Kuongorora hutano hwemukadzi ane pamuviri ane rubatsiro rwemikana inokosha. Pane pads kuti uone kuputika kweamniotic fluid. Chiito chavo chinoenderana nekushandurwa kwemuvara wechiratidzo, zvichienderana nemamiriro ezvinhu akabatana nawo. Pakutanga, ine ruvara rwezuva (rinoenderana nepH yemukadzi 4,5). Zvimwe zvinwiwa zvinopa ruvara rwebhuruu-ruvara rwebhuruu. MuAmniotic fluid pH ndiyo yakakwirira. Izvi zvinokubvumira kuti uongorore kuputika kweaonda amniotic fluid.
Inotsvakurudza kudivika kweamniotic fluid
Kutaura nezvokuti ungaziva sei kuvuza kweamniotic fluid, vanachiremba vanotaura kuti zvakaoma kuita izvi nehurukuro duku. Mumamiriro ezvinhu akadaro, kukanganisa kunowanikwa nevana laboratory nzira, pakati peiyo:
- smear kubudiswa kubva kumudzimai - "fern effect" (kuomesa mumvura pane slide iri mufananidzo wakafanana nemuti unonzi wainzi);
- Shanduko kubva kumushure kunonzi vaginal fornix inzira yakasimba yekuongororwa;
- amniotest - yakavakirwa mujekiseni yepramuscular yemuvara mudumbu, iyo inokonzera kubuda kwamniotic fluid (kazhinji isiri kushandiswa nekuda kwezvipingamupinyi zvakakwirira uye mari inodzokorora).
Inonzi ultrasound inokonzera kuora kweamniotic fluid here?
Kudonha kweamniotic fluid, zviratidzo zvaro zvinonzi zita remusoro, zvinogona kuongororwa nekubatsirwa kwe ultrasound. Mumamiriro ezvinhu akadaro, pahwindo rekuongorora, chiremba anoongorora huwandu hwehutachiona, hunoona kupera kwemuviri wemamniotic. Nekukanganiswa zvishomanana, nzira iyi haina kubudirira nekuda kwekusaoneka kusingaoneki uye kuoma kunzwisisa kwekuona kusakwana kweamniotic fluid.
Kubvisa amniotic fluid - chii chaunofanira kuita?
Kana mukadzi ane pamuviri anoratidza kuora kweamniotic fluid, mushonga chaiwo wausingawaniki, unofanirwa kuonana nachiremba wako. Muchiitiko ichi, maitiro acho zvakananga zvichienderana nekureba kwenguva nguva nekati, kuderera kwehuwandu hweamniotic fluid. Therapy inobva pa:
- kurondedzera antibacterial zvinodhaka zvekudzivirira utachiona;
- kudana basa rokuberekwa kana kukanganisa kunoitika mushure memavhiki makumi matatu.